Provider Demographics
NPI:1184040461
Name:HAWKEY, MARISA ASHLEY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MARISA
Middle Name:ASHLEY
Last Name:HAWKEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-1349
Mailing Address - Country:US
Mailing Address - Phone:740-282-0173
Mailing Address - Fax:740-282-0629
Practice Address - Street 1:2001 SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-1349
Practice Address - Country:US
Practice Address - Phone:402-820-1737
Practice Address - Fax:740-282-0629
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-11
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV13512183500000X
CA66420183500000X
OH03131427183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist